Computed tomography and plain radiography in experimental fracture healing.

Abstract:

:We evaluated the relative contribution of plain radiographs and computed tomography to the assessment of fracture healing under experimental circumstances. In 15 sheep, we performed midshaft femoral osteotomies and internal fixation of the resultant segmental fractures. Radiographs were obtained preoperatively and immediately postoperatively. Animals were sacrificed at 3 weeks, 6 weeks, 12 weeks, 24 weeks, and 36 weeks after surgery, and the femoral specimens radiographed. After removal of the internal fixation devices, computed tomographic scans of the specimens were performed. By 3 weeks, callus was visible, but at 6 weeks, a trabecular pattern in the callus was seen on plain films but not on computed tomography. There was progressive organization of the callus on both studies. At 24 weeks, computed tomography demonstrated fracture lines not seen due to overlying callus on plain films and also more accurately showed incomplete union. By 36 weeks, healing was essentially complete according to both modalities, although there still were small gaps in the callus detectable on computed tomography but not on plain films. Computed tomography may be of value in the evaluation of fractures of long bones in those cases in which clinical examination and plain radiographs fail to give adequate information as to the status of healing.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Braunstein EM,Goldstein SA,Ku J,Smith P,Matthews LS

doi

10.1007/BF00355070

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

27-31

issue

1

eissn

0364-2348

issn

1432-2161

journal_volume

15

pub_type

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